Physical Medicine Group of Illinois Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009576 Issued in IL

Legal business name

PHYSICAL MEDICINE GROUP OF ILLINOIS INC.

Practice address

630 N Addison Rd
Villa Park, IL 60181-1419

Phone

(630) 501-1837

Fax

(630) 345-5432

NPI assigned

Mar 8, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Naveed Saeed, D.C

Title

President

Phone

(630) 501-1837

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1124489919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N ADDISON RD",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811419",
            "telephone_number": "630-501-1837",
            "fax_number": "630-345-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N ADDISON RD",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811419",
            "telephone_number": "630-501-1837",
            "fax_number": "630-345-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE GROUP OF ILLINOIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "SAEED",
        "authorized_official_first_name": "NAVEED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-501-1837",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhara H Patel, D.C.
• Paras Patel, OD
• Jessica R Patterson, OTR/L
• Brian Pavur
• Katherine Nicole Petkovich, M.S. CCC-SLP/L
• Stacey Ann Pocevich, LCPC
• Graham Thomas Pommerehn, D.C.
• Eduardo Ponce
• Precision Vision Eyecare PC
• Jennifer Press, OTR/L

• Chiropractor in Villa Park, IL
• Providers in Villa Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.